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Individual

DR. SHIVA SEETAHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
40124 HIGHWAY 27, SUITE 104, DAVENPORT, FL 33837-5905
(863) 421-7626
Mailing address
40124 HIGHWAY 27, SUITE 104, DAVENPORT, FL 33837-5905

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME 123621
FL

Other

Enumeration date
10/15/2009
Last updated
02/16/2016
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